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Abstract Background Aortic aneurysms (AA) are enlargement of the aorta silently until diagnosing, not detectable on physical examination, and usually incidentally discovered during radiologic scanning for other reasons. It can get bigger sizes and can result in life-threatening outcomes if not detected early on. In this study, we aimed to determine the relationship between ascending aortic diameter and cardiac parameters that can be detected with tomography or/and echocardiography. Newly diagnosed (n: 85) ascending AA patients and healthy individuals (n: 86) who have not any thoracic pathology in computed tomography (CT) scans included to the study. Echocardiographically determined left atrial dimension (LAD), left ventricular end-diastolic diameter (LVDd), left ventricular end-systolic diameter (LVDs), left ventricular ejection fraction (LVEF) and the left ventricular posterior wall thickness (LVPWd) values of each patient were recorded. The thorax diameters, ascending aorta diameters and cardiac volume values recorded from CT scans. The obtained findings were statistically compared. Results Positive correlation was found between aortic diameter and aging (p: 0.000). Increased thorax diameter and cardiac volume values were detected in ascending AA cases (p

INTRODUCTION: Open surgical procedures and endovascular aortic procedures are the most feared renal injuries in abdominal aortic surgery. The presence of renal anomalies and clear localization during aneurysm repair brings surgical success. In this article, we aimed to show the importance of renal anomalies in terms of mortality and morbidity in aneurysm repair. METHODS: Between January 2017 and January 2019, 250 patients with aortic aneurysm and CT angiography were included in the study. The files of the patients who underwent computerized contrast angiography for aortic aneurysm in ALKU Alanya Training and Research Hospital were reviewed retrospectively. RESULTS: Bilateral renal artery was detected in four male patients; and left accessory renal artery was detected in five male and three female patients. At the end of the study, 250 patients were screened; and bilateral renal arteries were detected in 1.6%, left accessory arteries were detected in 3.2% of the eight patients. DISCUSSION AND CONCLUSION: It is important that surgeons and radiologists know the accessory arterial variations not only in abdominal aortic surgery, but also in recent years due to increased renal transplantation reconstruction, urological and radiological surgical techniques.

Amaç: Bu çalışmada yenidoğan kadavralarına ait karaciğerler üzerinde, Ultrasonografi (USG), Manyetik Rezonans Görüntüleme (MRG), Arşimet prensibi ve dilimleme yöntemleri kullanarak, bu yöntemler arasındaki farklılıkların ortaya çıkarılması amaçlanmıştır.Gereç ve Yöntem: Çalışmamız 39.7 ± 1.5 hafta yaşları ve 2.220 ± 1.056 g ağırlıklı beş yenidoğan kadavradan oluşmuştur. Karaciğer hacmini hesaplamak için üç farklı yöntem kullanılmıştır.Bulgular: Arşimed prensibi ile ölçülen karaciğer hacmi (LV) 70.00 ± 49.96 cm3 idi. Metodlar arasında anlamlı fark bulunmadı.Sonuç: MR ve USG görüntüleri, Cavalieri prensibi ile normal ve anormal karaciğer hacminin hesaplanmasında kolay, uygulanabilir ve tekrarlanabilir tahminler sağlar. Çalışmamızın önümüzdeki yıllarda yapılacak benzer çalışmalara referans olabileceğini düşünüyoruz.

Aim: Paracetamol is widely used by important societal groups such as pregnant women and the elderly. Paracetamol, taken in high doses especially during pregnancy, causes liver failure. The aim of our study is to investigate the effects of paracetamol, which is widely used during pregnancy, on the fetal liver. Methods: In our study, five groups of randomly selected rats from 10 Wistar Albino rats (n=2) were formed as control group, 50 mg / kg paracetamol group, 125 mg / kg paracetamol group, 250 mg / kg paracetamol group and 500 mg / kg paracetamol group. Paracetamol by gavage was given to pregnant rats in specified doses. Fetuses were taken by cesarean on the 20th day of pregnancy (10 fetuses were taken from each group). The fetus livers were then taken for biochemical analysis. Biochemically, vascular endothelial growth factor A (VEGF-A), FETU-A (FETUIN-A) (α2-heremans-schmid glikoprotein) and Sclerostin (SOST) values were examined.Results: In this study, changes in liver hepatocyte cells are seen as the dose of paracetamol increases. Regular increase is observed in VEGF-A and FETU-A. SOST increased at a dose of 250 mg / kg and decreased in the group of 500 mg / kg paracetamol. (p

Aim: This study aimed to aimed to classiffication the morphological and pathological anatomic features of patients with coccydynia.Patients and Method: Patients over 16 years of age who were admitted to Alanya Alaaddin Keykubat University Educational Research Hospital with complaints of coccydynia between April 2015 and April 2018, were included in the study. The sitting and standing coccyx and anterior-posterior pelvic radiographs of the patients were examined retrospectively.Results: It was observed that coccyx scoliosis, hypermobility, and dislocation were unrelated to sacrococcygeal angulation. There was a positive correlation between sacrococcygeal and intercoccygeal angles in the measurements of sitting and standing coccyx radiographs of the patients. There was a correlation between the length of the sacrum and length of the coccyx and also the intercoccygeal angle and coccyx length in the unoperated patients. There was a positive correlation between length of the sacrococcygeal joint and sacrococcygeal angle in males. Fusion in the sacrococcygeal joint was less in females. Conclusion: In the evaluation of patients with coccydynia, it should not be forgotten that the coccyx is a spinal segment which can move in all planes and develop pathology. Side and AP positioned sitting and standing dynamic radiography is an effective method for the detection of pathology in this patients. New classification including pathology in all three planes is needed in the classification of patients with coccydynia. We believe that our classification will eliminate this deficit.

Amaç: Bu çalışmanın amacı hemşirelik öğrencilerinin eleştirel düşünme eğilimlerini ve etkileyen faktörleri incelemektir. Gereç ve Yöntem: Tanımlayıcı tipte yapılan araştırmanın evrenini; Kahramanmaraş Sütçü İmam Üniversitesi Kahramanmaraş Sağlık Yüksekokulu’nda eğitim gören ebelik ve hemşirelik öğrencileri (n=640) oluşturmuştur. Araştırmaya ebelik bölümünden 210, hemşirelik bölümünden 291, toplam 501 öğrenci katılmıştır. Veriler, “Sosyo-demografik Özelliklerini” içeren veri formu ve “Kalifornia Eleştirel Düşünme Eğilimi Ölçeği” kullanılarak araştırmacılar tarafından toplanmıştır. Bulgular: Eleştirel Düşünme Eğilimi Ölçeği toplam puan ortalaması 247.37±22.3 olarak belirlenmiştir. Ebelik ve hemşirelik bölümleri arasındaki toplam puan ortalamaları farkı istatistiksel olarak karşılaştırıldığında anlamlı fark olmadığı belirlenmiştir. Ayrıca cinsiyet, okuduğu bölüm, okuduğu sınıf ve sosyal aktivitelere katılmanın eleştirel düşünme alt boyutlarını; kişilik yapısı özelliklerinin ise toplam eleştirel düşünme eğilimlerini olumlu yönde etkilediği saptanmıştır.Sonuç: Araştırıcı ve dürüst karaktere sahip olmanın eleştirel düşünme eğilimleri üzerinde etkili olduğu, sosyal aktivitelere katılmanın kendine güven ve meraklılık boyutlarında eleştirel düşünme eğilimlerini yükselttiği sonucuna varılmıştır

We would like to thank our peer reviewers who take the time to submit thoughtful contributions to Acta Medica Alanya. We know how much time and effort goes into writing a good peer review, and we deeply value the input of reviewers who volunteer their time and expertise to provide essential feedback that ensures the high quality of research published in the fourth issue of the journal. Acta Medica Alanya'ya düşünceli katkılar sunmak için zaman ayıran meslektaşlarımıza teşekkür ederiz. İyi bir hakem değerlendirmesi yazmak için ne kadar zaman ve çaba harcandığını biliyoruz ve derginin dördüncü sayısında yayınlanan yüksek kalitede araştırma sağlayan temel geri bildirimleri sağlamak için zamanlarını ve uzmanlıklarını gönüllü olarak kullanan hakemlerin girdilerine derinden değer veriyoruz.